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Psychometric Analysis of the Broome Pelvic Floor Muscle Exercise Self-Efficacy Scale in Women With Urinary Incontinence



Damghanian M1, 2 ; Pakgohar M3 ; Tavousi M4 ; Dehghan Nayeri N2, 5 ; Najafi M1 ; Kharaghani R6 ; Broome B7 ; Ghanbari Z8
Authors
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Authors Affiliations
  1. 1. Dept. of Reproductive Health Midwifery, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Nursing and Midwifery Care Research Center, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Dept. of Community Health & Geriatric Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
  4. 4. Health Education and Promotion Research Group, Health Metric Research Center, Iranian Institute for Health Science Research, ACECR, Tehran, Iran
  5. 5. Dept. of Critical Care Nursing and Nursing Management, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
  6. 6. Dept. of Midwifery, School of Nursing and Midwifery, Zanjan University of Medical Sciences, Zanjan, Iran
  7. 7. Dept. of Nursing, School of Nursing, Kent State University, OH, United States
  8. 8. Dept. of Obstetrics & Gynecology, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran

Source: HAYAT Published:2018

Abstract

Background & Aim: Urinary incontinence is a common disorder in women. Pelvic floor muscle exercise is one of the effective treatment methods. Selfefficacy is considered an effective and strong predictor of willingness to perform and continue these exercises. In Iran, there is no appropriate tool for assessing self-efficacy. So this study was performed to determine the psychometric properties of the Broome scale in women with urinary incontinence. Methods & Materials: A psychometric study of the Broome scale was conducted on women with urinary incontinence who referred to health centers affiliated to Tehran University of medical sciences in 2015.In this study, following processes were implemented: translation, back translation, face validity, content validity using CVR and CVI, reliability using Cronbach’s α coefficient, and construct validity using explanatory factor analysis. Results: The face validity was confirmed through the modification of ambiguous items based on the patients’ views. Content validity (CVR= 0.8 and CVI= 0.8 to 0.9) and reliability (Cronbach’s α= 0.96) were also confirmed. Explanatory factor analysis showed two factors with eigen value more than 1 including pelvic floor exercise self-efficacy in usual and special situations. These factors explained 82.08 percent of the total variance. Conclusion: The reliability and validity of the Broome scale were confirmed for using by Iranian women with urinary incontinence, and this scale can be used to measure these women's self-efficacy in performing pelvic floor exercises. © 2017, Tehran University of Medical Sciences (TUMS). All rights reserved.